在规模上数字化纸张ECG:临床研究的开源算法
Elias Stenhede1,2, Agnar Martin Bjørnstad3,4, Arian Ranjbar3
1Medical Technology & E-health, Akershus University Hospital, Lørenskog, Norway. elias.stenhede@ahus.no.
NPJ digital medicine
|January 14, 2026
概括
本研究提出了一个自动化框架来数字化纸张心电图 (ECG),使历史的ECG数据可用于AI诊断. 该开源软件增强了扫描心电图的可用性,用于研究和临床应用.
科学领域:
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
- 计算机视觉 计算机视觉
背景情况:
- 数以十亿计的临床心电图 (ECG) 被保存为纸张扫描,这阻碍了它们在现代自动诊断系统中的使用.
- 数字格式的缺乏限制了广大的历史ECG档案的可访问性和分析潜力.
研究的目的:
- 开发和验证一个完全自动化的模块化框架,用于将扫描或拍摄的ECG转换为可用的数字信号.
- 改善用于临床和研究应用的ECG图像数字化的最新技术.
- 通过开源软件发布来促进可复制性和进一步开发.
主要方法:
- 为ECG图像处理开发一个模块化,自动化的框架.
- 通过37191张心电图像的大型数据集进行验证,其中包括来自Akershus大学医院和Emory Paper数字化心电图数据集的数据.
- 对图像的算法性能进行评估,这些图像具有各种人工制造物,如视角扭曲,纹和污点.
主要成果:
- 该框架在被扫描的ECG上实现了平均信号噪声比为19.65dB的平均信号噪声比.
- 与现有的最先进的方法相比,该模型在所有子类别中表现出优异的性能.
- 从各种来源成功数字化ECG,包括那些有显著的图像退化.
结论:
- 开发的框架有效地将扫描的心电图转换为数字信号,释放了回顾性心电图档案的潜力.
- 该软件的开源版本使人工智能驱动的诊断获得了民主化,并鼓励进一步的创新.
- 这项工作显著提高了ECG历史数据在临床实践和科学研究中的实用性.
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An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...
